HomeMy WebLinkAbout4148 T . .. _ p . . ....
o E . Ell GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
I JAN 16 1991 PERMIT NUMBER J
L ` . please print or type DATE ) - a 2U 1,_
GARFIELD CQUNTY
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS /Og 0,-7-,4, ( NOTE: Show easements, property line dimensions,
SUBDIVISION ' Aa.,,r py.�y, Dili Ac,r all other structures, specify north, and street
FILING # 1 LOT # ! BLOCK # 20 name. POE odd shaped lots, or it space is
M TAX SCHEDULE # too small/provide separate plot plan.
LEGAL (SEC /TWN /RNG) # OF BUILDINGS NOW ON PARCEL 0
NAME USE OF BUILDINGS NOW ON PARCEL A/ /`
NA
I3Atn re M F-. • '- M C- AA -07-r c r
MAILING ADDRESS P TC,.• 4 (rem
o C ITY P'^'n!�+,r Mr--ew prziontE 7gc - .97 Y/
W NAME 'ry...JyrF�r j. AT roe •
a w ADDRESS S•pe µ(Y ST ` CITY (3 ern flT 5 F 4 S ,
. NAME TNA ea Nx. .VI k..•n 31 [, e.. C{.
o ADDRESS SAME
CITY 53.µa
c I°HONE 7g5 -7 .30.1 LICENSE #
CLASS OF WORK
NEW Tr ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model) (74A,,4.1 Ir Sots
S.F. OF BUILDING I'6, S.F. OF LOT 117474,
# OF FLOORS I HEIGHT t7_1
# OF FAMILY UNITS I # OF BEDROOMS ,3
INTENDED USE OF BUILDING « c _. p„T.,,.,.,,,l TtOC.
GARAGE: SINGLE DBLV SINGLE DBL
FRONT PROPERTY LINE
FIREPLACE „(I:q
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER Cen,A,0,_ OA e Le-
WATER SUPPLY A ,, • -. 6. CHECK IF CORNER LOT _
DRIVEWAY PERMIT Al amen DESCRIPTION OF WORK PLANNED p, •,,,�,,,� r~,
SITE PLAN prrtA r.tr op �+ :eme Plu.a.n wicv, * (.a k _ fl tcsJ , r�..w ..r.
BUILDING PLANS ear #w C �' dr F e r
SANITARY SEWER CLEARANCE I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply ,_. all countcordinances
and s _ws reg .sting bu ding nstruction
/ 3,90'° r m- M6etic5S) vnd - , 3;9dv,pD .SIGNATUR
• ° .I e ) G. ' + C 5 600,.9
OR OFFICE USE ONLY
VALUATION I1 7 S' 0 O . 0 O FLOOD HAZARD
PERMIT FEE $// 7.o PLAN CHECK FEE $ / G" a 0 CERTIFIED BLDG ELEVATION
TOTAL FEE $ /32_ , B ° SCHOOL IMPACT FEE $ /V 4_ SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT /0(/b PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY At Y
TYPE OF CONSTRUCTION M - flff47 - ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING / 77,90 S.F. OF LOT 47°00
MAX. HEIGHT Ate./ z.` ROAD CLASS. ---Y CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED _ y
APPROVED • car........ . ■ /I. j,/. ,s. ` / APPROVED:.- �.. I /t9' V WILDING DEPARTMENT/ I DAT PLANNING DEPAR :•�T DATE